MR. IVAN MIRANDA, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1003547670
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA17718 (TX) |
| Physician Assistant | 363A00000X | No | PA17718 (TX) |
Frequently Asked Questions
NPI 1003547670 is the National Provider Identifier for MR. IVAN MIRANDA, PA-C, a Physician Assistant - Medical provider located in Addison, TX. This NPI was enumerated on June 23, 2022.
MR. IVAN MIRANDA, PA-C practices at 16479 DALLAS PKWY STE 320, Addison, TX 75001.
Quick Facts
- NPI
- 1003547670
- Type
- Individual
- Enumerated
- Jun 23, 2022
- Last Updated
- Dec 16, 2025
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